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2022-12-27 thru 2022-01-30 Cert PayrolleCPR Online Confirmation 1(our payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks©dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-01-30 Payroll Number. 135 Amendment Number: 0 9 employee payroll record(s) processed Your Transaction ID is: 13341630 Print this Page %(iew your submission Submit another set of payroll records Public Works Certifie ,Jyroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-01-30 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-02-21." Contractor Name: PWLC II, INC. Address: PO BOX 848, THOUSAND PALMS, CA 92276 Insurance Number: NA Contractor PWCR: 1000037373 FEIN: 510532726 License Type: CSLB License Number 855783 Contractor Email: KRISTYS@PWLC2.COM Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA DIR Project ID: 290440 County: RIVERSIDE Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 135- 0 For Week Ending: 01/30/2022 j-"Is this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tula Wed Thu Fri Sat Sun Total Hours Hourly Pay Rata Gross Amount Earned Federal Tax FICA State Tex SDI Vac/ Holiday Health & Well. Pension Net Wage Paid For Week Check Number a Data ALATORRE, GRISELDA 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 Work Classification 01124 01/25 01/26 01127 01/28 01/29 01/30 This Project All Projects 0.00 46.96 0.00 7.04 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ subs Sayings 9 Other Total Deduct 577.80 12730 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.40 62.40 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER = 6.40 401K Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Well. Pension Nal Wage Paid For Week Check Number 2 Date SRIONES, MAFiCELINO 50700 CALLE MENDOZA COACHELLA CA 92236 4211111111, Work ClassifcaUon 01/24 01/25 01/26 01/27 01/28 01/29 01/30 This Project All Projects 53.01 55.93 10.99 6.04 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 8.00 6.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 731.00 731.00 Training Fund Admin Dues Tres/ Subs Savings Other Total Deduct 595.72 12731 0 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 25.50 0.00 0.00 0.00 0.00 0.00 7.31 135.28 D 6.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 7.31 401K Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rata Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health a Welf. Pension Net Wage Paid For Week Check Number 0 Data CORRALES. FIDELIAWork 84528 CALLE GREGORIO COACHELLA CA 92236 - Classification 01/24 01/25 01/26 01/27 01/28 01/29 01/30 This Project All Projects 9.30 52.02 11.60 7.48 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 880.00 680.00 Training Fund Admin Dues Tray/ Subs Sayings Other Total Deduct 599.40 12732 0 0.00 0.00 0.00 0.00 0.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 60.60 D 0.00 ✓ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 02/21/20Z2 - Page 1 U Public Works Certifie yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/30/2022 Payroll Number:135-0 Address Number of Day Deductions, Contributions, and Payments Name, and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac! Health Pension Net Date Earned Tax tax Holiday & Well. Wage 0 Total Hourly Check GONZALEZ. GABRIELA Work 01/24 01125 01126 01/27 o1/28 01/29 01/30 Hours Pay Rate This All 0.00 46.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 66940IRDNW000 DR #1406 Classification Hours Worked Each Day Project Protects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 B.00 5.00 8.00 8.00 0.00 0.00Fund 40.00 1fi.00 640.00 f�0•� Training Admin Dues Tray/ Subs Savings Other Total 584.00 12733 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 56.00 D o.00 O.Do °.00 o.DD 0.°° o.o0 0.00 D.°° 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Date Earned Tax Tax Hallday We1[. Wage Check JIMENEZ IVETTE 0 Total Hourly ST Work 01/24 01/25 01/26 01/27 01/28 01/29 01/3D Hours Pay Rale This All 35.40 48.56 4.35 6.98 0.00 0.00 0.00 Paid For Week Number 49615 HARRISON #40 Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 840.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 539.41 12734 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.30 100.59 IIIIIID D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Data Earned Earned Tax Tex Holiday & Welf. Check LOZANO. DANIEL 0 Total Hourly Walk 01/24 01/25 01/26 01/27 01/28 01/29 01/30 Hours Pay Rate This All 0.00 48.98 1.57 7.04 0.00 0.00 0.00 Paid For Week Number 33300 PUEBLO TRL Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 840.00 640.00 Training AFund dmin Dues Subs Savings Other Total 57$.03 12735 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 LABORER- RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.40 63.97 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA ' State SDI Vac/ Health Pension Nat Date Earned Tax Tex Holiday & Well. Wage Check MEJfA DENIS D a Total Hourly Work 01/24 01/25 01/26 01/27 01/28 01/29 01/30 Hours Pay Rate This All 0.00 29.30 OM 4.22 0.00 0.00 0.00 Paid For Week Number 44220 SAN PABLO AVE #5 ClassificationProject Hours Worked Each Day Protects PALM DESERT LANDSCAPE MAINTENANCE 5 0.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 16.00 384.00 384.00 Training Fund Admin Dues tray/ Subs Savings Other Total 350.40 12736 CA °.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 LABORER- RIVERSIDE o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 33.60 - D 0.00 0.00 0.00 0.00 OM0.00 0.00 0.00 0.00 LNOTE: Public works certified Payroll Reporting Form 02/21/2022 - Page Public Works Certifier :yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/30/2022 Payroll Number: 135-0 Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Toe Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Date Earned Tag Tax Holiday 8 Waif. Wage 0 Total Hourly Check MUNOZ. EVERARDO Work 01124 01125 01126 01127 01128 01129 01136 Hours Pay Rate This All 0.00 54.68 2.42 7.86 0.00 0.00 0.00 Paid For Week Number 74501 42ND AVE Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 i8.00 720.00 720.66 Training Admix Dues Subs Savings Other Total 848.74 12737 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 92260 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 5.30 70.28 UNIIIIIIii D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Address Number of Oily Deductions, Contributions, and Payments Name, and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vecl Health Pension Net Date Earned Tax Tax Holiday & Welt 0 Total Hourly SORIANO LOZANO, FERNANDO B PUEBLO TR #A Work 01124 01125 01/26 01127 01/28 01/29 01130 Hours Pay Rate This All 15.38 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 33300 Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S32.00 8.00 0.00 8.00 8.00 8.00 0.00 0.00 16.00 512.00 640.00 Training Adm n Dues subs Savings Other Total 562.22 12738 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 6.40 77 78 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 - NOTE: OTHER = 6.40 401K public works Certified Payroll Reporting Form 02/21/2022 - FM* eCPR Online Confirmation lour payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-01-23 Payroll Number: 134 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 13336599 Print this Page View your submission Submit another set of payroll records Public Works Certifiet yroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. {name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-01-23 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-02-19 " Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 134- 0 For Week Ending: 01/23/2022 D Is this a 'Statement of Non -Performance?' Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Net Dale Earned Tax Tax Holiday 6 Welt.Pension Wage ALATORRE. GRISELDA 0 Total Hourly Check 11550 WESTERN AVE Work 01/17 01118 01/19 01120 01121 01/22 01l23 Hours Pay Rate This All 0.00 39.18 0,00 5.63 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 6.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues S Subsubs Savings Other Total Deduct 452.07 12573 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 am gm 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.12 49.93 isammi D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.12 401K Name. Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Data Earned Earned Tax Tax Holiday & Waif. BRIONES, MARCEUNO 2 Total Hourly Check 50700 CALLE MENDOZA Wort, 01/17 01118 01119 01/20 01121 01/22 01/23 Hours Pay Rate This All 34.83 44.21 4.33 6.36 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Protect Projects COACHELLA CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 2.00 34.00 17.00 578.00 578.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 482.49 12574 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.78 95.51 IIMIMMi D 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.06 0.00 NOTE: OTHER a 5.78 401K Name, Address Number of Day Deductions. Contributions, and Payments and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vert Health Pension Net Date Earned Tax Tax Holiday & Well. Wage FIDELIA 0 Total Hourly Check CORRALES, 84526 CALLE GREGORIO Work 01/17 01118 01/19 01/20 01/21 01/22 01/23 Hours Pay Rale This All 0.00 41.62 5.82 5.98 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Prajecl Projects COACHELLA CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 17.00 544.00 544.00 Training Fund Admin Dues Su Subs bs Savings Other Total Deduct 490.58 12575 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 53.42 - D e.DD 0,0D 0,00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Public Works certified Payroll Reporting Form 02/19/2022 - Page 1 Public Works Certifietyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE 8 LIGHTING DISTRICT 89-1 For Week Ending: 01/23/2022 Payroll Number:134-0 Noma, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Not Dale Earned Tax Tax Holiday & Welf, DIMAS, PEDRO REYES 1 Total Hourly Wage Check 31-900 AVENIDA EL MUNDO Work 01/17 01/18 01/19 01/20 01121 01/22 01/23 Hours Pay Rale This All 30.09 48.96 5.23 7.04 0.00 0.00 0.00 Paid For week Number Classification Hours Worked Each Day Project 1 Projects CATHEDRAL CITY CA LANDSCAPE0.00 MAINTENANCE s 8.00 8.00 8.00 0.00 0.00 0.00 24,00 20.00 480.00 640.00 TrainingFund Admin Dues S Subsubs Savings g Other Total 542.28 12550 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 6.40 97.72 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Wolf. GONZALEZ. GABRIELA 0 Dale Total Hourly Wage Check 66900 IRONWOOD DR #1406 Work 01/17 01/18 01/19 01/20 01/21 01/22 01/23This Hours PayRate All 0.00 39.18 0.00 5.63 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each DayProject� Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues Stay/ Subs Savings Other Total 467.19 12576 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 44.01 IINEMI D 0.00 0.00 0.00 0.00 0,00 0.00 0,00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slats SDI Vac) Health Pension Net Date Earned Tax Tax Holiday& Welt. JIMENEZ.IVETTE 0 Total Hourly Wage Check 49615 HARRISON ST #40 Work 01/17 01/18 01/19 01/20 01/21 01/22 01/23 Hours Pay Rate This All 7.20 28.97 0.00 4.17 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project 1 Projects 0l COACHELLA CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 0.00 8.00 0.00 0.00 24.00 16.00 384.00 384.00 Training Fund Admin Duos Subs Subs Savings Other Total 338.36 12577 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 45.64 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00I NOTE: OTHER a 5.30 DENTAL INSURANCE Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Earned Earned Tax Tax Holiday& Welf. LOZANO, DANIEL 0 Date Total Hourly Wage Check 33300 PUEBLO TRL Work 01/17 01/18 01/19 01/20 01/21 01/22 01/23 Hours Pay Rate This All 0.00 39,18 0.00 5.63 0.00 0.00 0,00 Paid For Week Number Classification Hours Worked Each Day1 Project Pro Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE 5 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 TrainingFund Admin Dues Tray/ Subs Sayings g Other Total 462.07 12578 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.12 49.93 D 0.00 0.00 0.00 0.00 D.DD 0.00 0.00 DM0 0.00 NOTE: OTHER a 5.12 401K Public Works Certified Payroll Reporting Form 02/19/2022 - Page 2 Public Works Certifiet yroll Reporting Form Contractor Name: PWLC U. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/23/2022 Payroll Number:134-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welf. MEDINA ESCOBAR, JUAN F 0 Total Hourly Wage Check 65946 DESERT VIEW AVE Work 01/17 01118 01119 01/20 01121 01/22 01123 Hours Pay Rate This All 0.00 42.60 0.00 6.13 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8,00 8.00 8.00 0.00 0.00 0.00 24.00 18.00 432.00 576.00 TrainingFund Admin pues S Subsubs Savings 9 Other Total 508,09 12555 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 19.18 67.91 IIIIIIIIIP D o.o0 0.00 0.00 0.00 0.00 OM 0.00 0.00 0.00 NOTE: OTHER = 13,58 HEALTH INSURANCE & 5.30 DENTAL INSURANCE Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well. MEJIA, DENIS D 0 Total Hourly Wage Check 44220 SAN PABLO AVE #5 Work 01/t7 01/18 01/19 01/20 01/21 01/22 01/23 Hours Pay Rate This All 0.00 39,16 1.80 5.63 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Protect Projects PALM DESERT CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 5.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Admin Dues Subs Savings Other Total 465.41 12579 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE _ 0.00 0.00 0.00 0.00 0.00 0.00 46.59 MEM D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SD! Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welt. MUNOZ EVERARDO 0 Total Hourly Wage Check 74501 42ND AVE Work 01/17 01/18 01/19 01/20 01/21 01/22 01/23 Hours Pay Rate This All 0.00 43.66 0.00 6.28 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Protects PALM DESERT CA LANDSCAPE MAINTENANCE 5 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 TrainingFund Admin Dues S Sububss Savings Other Total 520.76 12580 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 55.24 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grose Amount Federal FICA State SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Waif. RODRIGUEZ.PINEDA.ALEJANDRO 0 Total Hourly Wage Check 69 BONAZA RD Work 01117 01/18 01/19 01120 01/21 01/22 01/23 Hours Pay Rate This All 0.00 39.16 1,80 5.63 0.00 0.00 0.00 Paid For Week Number Classification ClassificationP Hours Worked Each Day act Project Projects J PALM SPRINGS CA LANDSCAPE MAINTENANCE s 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24,00 16.00 384.00 512.00 Training Fund Admin Dues Travf Subs Savings Other Total 465.41 12559 LABORER- D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 46.59 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 02/19/2022 - Page 3 Public Works Certifiet :yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/23/2022 Payroll Number:134-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welt, SORIANO LOZANO, FERNANDO B 0 Total Hourly Wage Check PUEBLO TR /OA Work 01/17 01/18 0V79 01/20 01/21 01/22 01/23 Hours Pay Rale This All 2.71 39.18 0.00 5.63 0.00 0.00 0.00 Paid For Week Number 33300 Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE 5 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Adrnin Dues Subs Savings Other Total 459.36 12581 LABORER- 0 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.12 52.64 1- D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.12 401K Public works certified Payroll Reporting Form 02/19/2022 - Page 4 eCPR Online Confirmation four payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-01-16 Payroll Number: 133 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 13336418 Print this Page View your submission Submit another set of payroll records Public Works Certifie yroll Reporting Form Cart!ficarlon undeil enafty of perjury: 'I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-01-16 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-02-19.- Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 133- 0 For Week Ending: 01/16/2022 jIs this a 'Statement of Non -Performance?' Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA State 501 Vac/ Health Pension Negt Date Hou rly Earned Tax Tax Holiday & Welf. 0Total ber ALATORRE, GRISELDA Work 01110 01/11 01/12 01113 01/14 01115 01116 Hours Pay Rate This All 0.00 48.96 0.00 7,04 0.00 0.00 0.00 Paid For Week Nume 11550 WESTERN AVE Classification Hours Worked Each Day ProJecl Projects DESERT HOT SPRINGS LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40 OD 16.00 640.00 640,00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 577,60 12536 CA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 LABORER- RIVERSIDE 0 0.00 0.00 0.90 0.00 0.00 0.00 0.00 6.40 62.40 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 NOTE: OTHER = 6.40 401K Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SD] Vac/ Health Pension Net Date Hourly Earned Tax Tax Holiday 8 Well. Wage Check 2 Total BR10NE5, MARCELINO Work 01110 01/11 01l12 01I13 01/74 01/15 07116 Hours PayRate This Ali 46.95 52.02 8.77 7,48 D.110 0.00 0.00 Paid For Week Number 50700 CALLE MENDOZA classification Hours Worked Each Day Project Projects COACHELLA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 B.00 8.00 0.00 0.00 AO.DB 17.0D 680.00 680.110 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 557.98 12537 CA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 LABORER- RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0,00 0.00 6.80 122.02 iMIIIIIII D 0.00 o.Do D.00 0.00 0,00 0.0o D.Do 0.00 0.00 NOTE: OTHER = 6.80 401K Number of ' Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Wa le Date Earned Tax Tax Holiday & Well. Check RAMON A 0 Total Hoary CASTILLO VIGIL, Work 01/10 01/11 01/12 01/13 01/14 01/15 01/16 Hours Pay Rate This All 38.26 64.26 17.24 9.24 0.00 0.00 0.00 paid For Week Number 27335 HOPPER RD Classification Hours Worked Each Day Hours Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 20.00 640.00 840,00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 702.60 6680 0.00 0.00 0,00 0.00 0.00 0.00 0.00 92241 LABORER. RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.40 137.40 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.40 401K Public works Certified Payroll Reporting Form age Public Works Certifie yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/16/2022 Payroll Number: 133-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Welf. CORRALES, FIDELIA a Total Hourly Wage Check 84526 CALLE GREGORID Work 01/10 01111 01112 01113 01114 01115 01/16 Hours Pay Rate This All 9.30 52.02 11.80 7.48 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 680.00 680.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 599.40 12538 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 80.60 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0A0 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Health Pension Net Dale Earned Tax Tax Holiday & Welf. DIMAS, PEDRO REVES 1 Total Hourly Wage Check 31-900 AVENIDA EL MUNDO Work 01/10 01,11 01112 01/13 01/14 01/15 01l16 Hours Pay Rale This All 47.21 61.20 8.72 9.80 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE s 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 20.00 480.00 800.00 Training Fund Admin Dues Tray! Subs Savings Other Total 666.07 12512 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.00 133.93 IINIMNI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ,, 0.00 0.00 NOTE: OTHER a 8.00 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net DateEarned Tax Tax Holiday & Well. GONZALET, GABRIELA Q Total Hourly 66900 IRONWOOD DR #1406 W� 01110 01l11 01/12 01/13 01/14 01/15 01/19 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week NumWage ber Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Admin Dues Subs Savings Other Total 584.00 12539 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 - - - 92240 RIVERSIDE - 0.00 0.00 0.00 0.00 0.00 0.00 56.00 MIMS D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Nel Date Earned Tax Tex Holiday & WeIL JIMENEZ IVETTE O Total Hourly Wage Check 49615 HARRISON ST #40 Work 01/10 01/11 01/12 01/13 01/14 01/15 01116 Hours Pay Rate This All 23.88 41.21 0.12 5.93 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project 1 Projects 1 COACHELLA CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 2.00 0.00Tray/ 34.00 16.00 544.00 544.00 Training Fund Admin Dues Subs Subs Savings Other Total 467.56 12540 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 76.44 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 MMUS NOTE: OTHER = 5,30 DENTAL INSURANCE Public works Certified Payroll Reporting Form 02/19/2022 - Page 2 Public Works Certifie yro[i Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01116/2022 Payroll Number:133-0 Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Not Data Earned Tax Tax Holiday & Well. Wage Check MEDINA ESCOBAR. JUAN F 0 Total Hourly DESERT VIEW AVE Work 01/10 01111 01/12 01/13 01/14 01115 01116 Hours Pay Rale This All 0.00 53.61 4.53 7.71 0.00 0.00 0.00 Paid For Week Number 65946 Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 0.00 0.00 0.00 32.00 18.00 576.00 720.00 Training Fund Admin Dues TraVi Subs Savings Other Total 634.97 12517 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 19.18 85.03 Mali D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE & 5.30 DENTAL INSURANCE Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday &Wolf. Wage Check 0 Total Hourly MEJIA, DENIS D AVE #5 Work 01/10 01/11 01/12 01/13 01114 01/15 01116 Hours Pay Rate This All 0.00 48.96 7.31 7.04 0.00 0.00 0.00 Paid For Week Number 44220 SAN PABLO Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Adrnin Dues Subs Savings Other Total 576.69 12541 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 63.31 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Data Earned Earned Tax Tax Holiday &Well. Check MUNOZ. EVERARDO 0 Total Hourly Work 01/10 01I11 01/12 Ot113 01/14 01/15 01/16This Hours PayRate All 0,00 51.92 0.83 7.47 0.00 0.00 0.00 Paid For Week Number 74501 42ND AVE Classification Hours Hours Worked Each Day Projects PALM DESERT CA LANDSCAPE MAINTENANCE $ 6.00 8.00 8.00 8.00 8.00 0.00 0.00 38.00 18.00 684.00 709.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 643.48 12542 LABORER- 0,00 0.00 0.00 0,00 0.00 0.00 0.00 92260 RIVERSIDE 0 0,00 0.00 0.00 0.00 0.00 0.00 0.00 5.30 65.52 MOM D 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0,00 NOTE: OTHER = 5.30 DENTAL INSURANCE Number of Day Deductions, Contributions, and Payments Name. Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welt. Wage Check RODRIGUEZ-PINEDA,ALEJANDRO 0 Total Hourly Wadi 01/10 01/11 01/12 01/13 01/14 01/15 01/16 Hours Pay Rale This All 0.00 48.96 7.31 7.04 0.00 0.00 0.00 Paid For Week Number 69 BONAZA RD Classification Hours Worked Each Day Project Projects PALM SPRINGS LANDSCAPE MAINTENANCE S 8,00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 16.00 512.00 640.00 Training Fund Admin Dues Tray! Subs Savings Other Total 576.69 12521 CA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 LABORER- RIVERSIDE 0 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 63.31 D 0 00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 NOTE: Public Works Certified Payroll Reporting Form 02/19/ZOZZ - Page Public Works Certifie L .yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/16/2022 Payroll Number:133-0 Address Number of Day Deductions, Contributions, and Payments Name, and Social Security Number of Worker Withholding Mon Tue Wed Thu Fitt Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Famed Tax Tax Holiday & Weir. Wage A 0 Total Hourly Check SARABIA, JOSE Work Oi110 01l11 01112 01113 OV14 01l15 01l16 Hours Pay Rate This All 3.74 48.96 11.64 7.04 0.00 0.00 0.00 Paid Far Week Number 2950 N INDIAN CANYON DR Classification Hours Hours Worked Each Day Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 76.00 640.00 640.00 Training Admin Dues Subs Savings Other Total 562.22 12543 LABORER- 13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 6.40 77.78 IIIIIMINIO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Public Works Certified Payroll Reporting Form 02/19/2022 - Page 4 eCPR Online Confirmation •Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-01-09 Payroll Number: 132 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 13159807 Print this Page View your submission Submit another set of payroll records Public Works Certific ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/09/2022 Payroll Number:132-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday 8 Well. SARABIA, JOSE A 0 Total Hourly Wage Check 2950 N INDIAN CANYON DR Work 01I03 01/04 01/05 01I66 01/07 01108 01109 Hours Pay Rate This All 3.74 48.96 11.64 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 0.00 8,00 0,00 0.00 32.00 18.00 512.00 640.00 Training Admin Dues Subs Savings Other Total 562.22 12394 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 fi.40 77.78 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER a 6,40 Public works Certified Payroll Reporting Form 01/28/2022 - rape 4 Public Works Certifit 3yroll Reporting Form .v, Contractor Name: PWLC It, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/09/2022 Payroll Number:132-0 Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac! Health Pension Net Date Earned Tax Tax Holiday b Welt. Wage F 0 Total Hourly MEDINA ESCOBAR. JUAN Work 01/03 01/04 01/05 01106 01/07 01108 01109 Hours Pay Rate This All 0.00 53.62 4.53 7.71 0.00 0.00 0.00 Paid For Week Nuheck 65946 DESERT VIEW AVE Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 634.96 12366 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19.16 85.04 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE & 5.30 DENTAL INSURANCE Name, Address Number of They Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale 501 Vac! Health Net Dale Earned Tax Tax Holiday & Welt Wage 0 Total Hourly Check MEZA VERA, JOSE A 82292 LEMON GROVE Work 01l03 01104 01105 01106 01107 01108 01/09 Hours Pay Rale This All 0.00 48.55 1.62 6.98 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Each Ray Project Projects INDIO CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 640.00 840.00 Training AFund dmin Dues Tray/ Subs Savings Other Total 577.55 12392 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE o 0.00 0.00 0.00 0.00 0.00 5.30 62.45 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ; 0.00 0.90 NOTE: OTHER = 5.30 DENTAL INSURANCE Name, Address Number of Day Deductions, Contributions, and Payments and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & WeIL Check 0 Totat Hourly MUNOZ,EVERARDO 74501 AVE Work01103 01104 01/05 01106 01/07 01108 01109This Hours Pay Rate Afl 0.00 54.67 2.42 7.86 0.00 0.00 0.00 Paid For Week Number 42ND Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 18.00 432.00 720.00 Training Fund Admin Dues Tray! Subs Savings Other Total 649,75 12393 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 5.30 70.25 ill.1=Ilig D D.00 o.DD o.DO 0.00 0.00 0.00 0.00 coo 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net bate Earned Tax Tax Holiday & Weif. Wage Check 0 Total Hourly RODRIGUEZ-PINEDA, ALEJANDRO BONAZA RD Work 01/03 01104 01/05 01/06 01/07 01/08 01/09 Hours Pay Rate This All 0.00 48.96 7.31 7.04 0.00 0.00 0.00 Paid For Week Number 69 Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 OM aD.DD 16.00 640.00 640.00 Training AFund dm n Dues Subs Savings Other Total 576.69 12370 LABORER- 0.00 0.00 0.00 0.00 0.D0 0.00 0.00 0,00 92262 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.31 1111.110 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works certified Payroll Reporting Form 01/28/2022 - Page 3 Public Works Certifie Ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/09/2022 Payroll Number:132-0 Address Number of Day Deductions, Contributions, and Payments Name. and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grass Amount Federal FICA Stale SDI Vad Health Pension Net Date Earned Tax Tax Holiday & Welt. Wage Check CORRALES, FIDELIA 0 Total Hourly Work 01103 01104 01l05 01108 01l07 01/08 01l09 Hours Pay Rate This All 9.30 52.02 11.80 7.48 0.00 0.00 0.00 Paid For Week Number 84526 CALLE GREGORIO Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 46.00 17.00 680.00 680.00 Training AdR11n Dues Subs Savings Other Total 599.40 12389 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 92236 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 80.60 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Net Data Earned Tax tax Holiday & Well'. Wage Check 1 Total Hourly DIMAS, PEDRO REYES Work 01/03 01104 01105 01106 01107 01/08 01109 Hours Pay Rate This All 47.21 61.20 8.72 LBO 0.00 0.00 0.00 Paid For Week Number 31-900 AVENIDA EL MUNRO Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE 5 0.00 2.00 8.00 e.00 8.00 0.00 0.00 26.00 20.00 520.00 800.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 666.07 12361 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE p 0,00 0.00 0.00 0.00 0.00 0.00 8.00 133.93 11.1.111.10 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER a 8,00 401K Name, Number of Day Deductions, Contributions, and Payments Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welf. Wage Check GONZALEZ. GABRIELA 0 Total Hourly Work 01103 01/04 01/05 01106 01107 01/08 01/09 Hours Pay Rate This All 0.00 19.58 0.00 2.82 0.00 0.00 0.00 Paid For Week Number 66900 IRONWOOD DR #1406 Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 0.00 0.00 0.00 8.00 8.00 0.00 0.00 16.00 16.00 256.00 256.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 233.60 12390 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE a 0.00 0.00 -, 0.00 0.00 0.00 0.00 0.00 0.00 22.40 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address end Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welt. Wage Check JIMENEZ.IVETTE 0 Total Hourly Work 01103 01/04 01/05 01l06 01107 01/08 01/09 Hours Pay Rale This All 0.00 5.10 0.00 0.73 0.00 0.00 0.00 Paid For Week Number 49615 HARRISON ST #40 Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S 4.511 0.00 0.00 0.00 0.00 0.00 0.0060,87 4.50 16.00 72.00 72.00 Training Adm1� Dues Subs Savings Other Total 12391 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.30 11.13 UMW D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER a 5.30 401K Public works certified Payroll Reporting Form 01/28/2022 - Page 2 Public Works Certific 3yroll Reporting Form Certification underpenalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-01-09 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-01-28 " Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 132- 0 For Week Ending: 01/09/2022 in Is this a 'Statement of Non -Performance?' Name, Address Number of Day Deductions, Contributions, and Payments and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welf. Wage Check 0 Total Hourly ALATORRE, GRISELDA WESTERN AVE Work 01103 01104 01105 01106 01107 01108 01109 Hours Pay Rate This All 0,00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 11550 Classification Hours Worked Each Ray Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 6.00 8.00 8.00 8.00 0.00 0,00 40 00 16.00 640.00 640.00 Training Fund Admin Dues Su Subs bs Savings Other Total Deduct 577.60 12386 LABORER- 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0 00 92240 RIVERSIDE 0 0.40 0.00 0.00 0.00 0.00 6.40 62.40 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER = 6.40 401K Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. Wage Check 2 Total Hourly BRIONES. MARCELINO Work 01/03 01/04 01105 01/06 01107 01106 01109 Hours Pay Rate This Ali 53.01 55.92 10,99 8.04 0 00 0.00 0.00 Paid For Week Number 50700 CALLE MENDOZA Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.0a 40.410 17.00 731.00 731.00 Train �ng Fund Admin Dues Subs Savings Other Total Deduct 595.73 12387 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 2.00 92236 RIVERSIDE 0 2.00 25.50 0.00 0.00 0.00 0.00 0.00 7.31 135.27 r D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 moo NOTE: OTHER = 7.31 401K Number of Day ♦ Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Nrga Date Tax Tax Holiday & Welt. Wa Check CASTILLO VIGIL. RAMON A 0 Total HourlyEarned Work 01/03 01/04 01/05 01/06 01/07 01108 01/09 Hours Pay Rate This All 33.51 61.20 14,63 8.80 0.00 0.00 0.00 Paid For Week Number 27335 HOPPER RD ClassificationProtect Hours Worked Each Day Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 673,86 12388 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92241 RIVERSIDE 0 goo o.00 0.00 0.00 0.00 0.00 0.00 8.00 126.14 D 0.00 0.00 0,00 0.00 0.00 0.00 0.00MIMS 0.00 0.00 NOTE; OTHER = 8.00 401K Public works certified Payroll Reporting Form 01/28/2022 - Page 1 eCPR Online Confirmation your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks©dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-01-02 Payroll Number: 131 Amendment Number: 0 16 employee payroll record(s) processed Your Transaction ID is: 13155501 Print this Page View your submission Submit another set of payroll records Public Works Certifi. ayro€i Reporting Form Certification under. penalty of perjury: KRISTYSOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-01-02 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-01-28." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 849, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA OUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA OUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 131- 0 For Week Ending: 01/02/2022 Ots this a 'Statement of Non -Performance?' Name, Number of Day Deductions. Contributions, and Payments Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welt, Wage D Total Hourly Check ALATORRE, GRISELDA AVE Work 12/27 12/28 12/29 12/30 12/31 01101 01102 Hours Pay Rata This All 0.00 39.16 0.00 5.63 0.00 0.00 0.00 Paid For Week Number 11550 WESTERN Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 532.00 8.00 8.00 8.00 8.00 0.00 0.00 0.00 16.00 512.00 512.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 462.09 12345 LABORER- 0.00 0.00 0.00 0.00 0.00 0,00 0.00 92240 RIVERSIDE O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.12 49.91 11.1.111. D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER a 5.12 401K Name, Address Number of Day Deductions. Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welt. Wage Check 0 Total Hourly ALFARO, SOCORRO N Work 12/27 12/28 12/29 12/30 12/31 01101 01/02 Hours Pay Rate This All 0.00 39.16 1.80 5.63 0.00 0.00 0.00 Paid For Week Number 11550 WESTERN AVE ClassificationHours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 16.D0 512.00 512.00 Training Fund gdmin Dues Tray/ Subs Savings Other Total Deduct 465.47 12346 LABORER- 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0 0.00 0.00 0,00 0.00 0.00 0.00 46.59 UMWD 0.00 0.130 0,00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Number of Day Deductions. Contributions. and Payments Name. Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Nal Dale Earned Tax Tax Holiday & Welt. k BRIONES, MARCEUNO 2 Total Hourly Work 12127 12128 12/29 12/30 12/31 01101 01/02This Hours Pay Rate All 34.83 44.22 4.33 6.36 0.00 0.00 0.00 PaidWage Far Week Number 50700 CALLE MENDOZA Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 0.00 2.00 0.00 34.00 17.00 578.00 578.00 Training Fund Admin Dues Trav/Subs Subs Savings Other Total Deduct 482.48 12347 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0 0.00 0.00 0.00 0.00 0,00 0.00 0.00 5.76 95.52 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER = 5.78 401K Public works Certified Payroll Reporting Form 01/26/2022 - Page 1 Public Works Certifir ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/02/2022 Payroll Number:131-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding ! Mon Tue Wed Thu Frl Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. Wage Check CASTILLO VIGIL, RAMON A 0 Total Hourly RD Work 12127 12/28 12/29 12/30 12/31 01/01 01/02 Hours Pay Rate This All 14.92 36.72 0.99 5.28 0.00 0.00 0,00 Paid For Week Number 27335 HOPPER Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8,00 8,00 0.00 0.00 0.00 0.00Fund 24,00 20.00 480,00 480.00 Training Admin Dues Tray/ Subs Savings Other Total 417.29 12348 LABORER. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92241 RIVERSIDE 0 0.00 0.00 0.00 0.00 0,00 0.00 0.00 4.80 62.71 UNIINP D 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 4.80 401K Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. Wage Check 0 Total Hourly CORRALES, FIDELIA GREGORIO Work 12/27 12/28 12/29 12/30 12131 01/01 01/02 Hours Pay Rate This All 0.00 41.62 5.82 5.98 0.00 0.00 0.00 Paid For Week Number 84526 CALLE Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 0.00 0.00 0.00 32.00 17.00 544.00 544,00 Training Fund Admin Dues Tray/ Subs Savings Other Total 490.58 12349 LABORER- o 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0,00 0.00 0.00 0.00 0.00 0.00 53.42 .110100 D o.o0 0.00 o.Qo 0.00 0.00 0.00 0,00 0.00 0.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well. Check HERNANDEZ,ANTHONY A 0 Total HourlyWage CANYON OR Wok 12/27 12/28 12/29 12/30 12/31 01101 01f02 Hours Pay Rate This All 38,24 46.69 8.73 6,71 0.00 0.00 0.00 Paid For NumberWeek 33675 CATHEDRAL Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE 5 0.00 4.00 0.00 0.00 0.00 0.00 0.00 4.00 26.57 106.28 610,28 Training Fund Admin Dues Tray/ Subs Savings Other Total 509.91 12354 0,00 0.00 0.00 0.00 0,00 0,00 0.00 0,00 92234 (LABORER} GROUNDSPERS o 0.00 0.00 0.00 0.00 0.00 0.00 0,00 100.37 IMP ON D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Data Tax Tax Holiday A Well. Check JIMENEZ, IVETTE 0 Total HourlyEarned ST Work 12/27 12/28 12/29 12/30 12/31 01/01 01/02 Hours Pay Rate This All 7.20 28.97 0.00 4,17 0.00 0.00 0.00 Paid For Week Number 49615 HARRISON 940 Classification Hours Worked Each Day Pra ecl j Pro acts j COACHELLA CA LANDSCAPE MAINTENANCE s 8.00 8.00 8.00 0.00 0.00 0,00 0.00 24,00 16,00 384,00 384.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 338.36 12350 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE O 0.00 0.00 0.00 0,00 0.00 0.00 0.00 5.30 45.64 NIIIIIIIII D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Public works certified Payroll Reporting Form 0I/26/2022 - Page Public Works Certifi. ayroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/02/2022 Payroll Number:131-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gress Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welf. Wage Check LUNA GONZALEZ, CARLOS 4 Total Hourly Work 12/27 12128 12/20 12/30 12131 01/01 01102 Hours Pay Rate This All 4.65 47.99 0.00 8,90 0.00 0.00 0.00 Paid For Week Number 66145 7TH ST Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE s 0.00 4.00 0.00 0.00 0.00 0.00 0.00 4.00 30.82 123.28 627.28 Training Fund Admin Dues Tray/ Subs Savings Other Total 567.74 12355 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 (LABORER} SENIOR TREE 4 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.54 MEM TRIMMER D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac! Health Pension Net Date Earned Tax Tax Holiday 8 Waif. Wage Check MEDINA ESCOBAR. JUAN F a Total Hourly VIEW AVE Work 12/27 12128 12129 12/30 12131 01/01 01/02 Hours Pay Rate This All 0.00 42.59 0.00 6.13 0.00 0.00 0.00 Pald For Week Number 65946 DESERT Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE8.00 MAINTENANCE s 8.00 0.00 0.00 0.00 0.00 0.00 16.00 18.00 288.00 576.00 Training AFund dm n Dues Subs Savings Other Total 508.10 12326 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE p 0.00 0.00 0.00 0.00 0.00 0.00 19.18 67.90 1111111111111 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE & 5.30 DENTAL INSURANCE Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Data Earned Tax Tax Holiday & Welt. Wage Check MEZA VERA. JOSE A 0 Total Hourly GROVE Work 12127 12128 12/29 12130 12131 01/01 01/02 Hours Pay Rale This All 0.00 38.77 0.00 5.57 0.00 0.00 0.00 Paid For Week Number 82292 LEMON Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCE s 8.00 B.00 8.00 8.00 0.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues Tray! Subs Savings Other Total 462.36 12351 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.30 49.64 111111.1. D D.o0 a.00 0.00 OM 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension N Date Tax Tax Holiday & Well. Wage Check MUNOZ, EVERARDO 0 Total HourlyEarned Work 12127 12/28 12/29 12/30 12/31 01/01 01/02 Hours Pay Rate This All 0.00 43.66 0.00 6.28 0.00 0.00 0.00 Paid For Week Number 74501 42ND AVE Classification Hours Worked Each Day Protect Projects PALM DESERT CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 18.00 576.00 576.00 Training Admip Dues Subs Savings Other Total 520.76 12352 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.30 55.24 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Public works Certified Payroll Reporting Form 01/28/2022 - Page Public Works Certifi' ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/02/2022 Payroll Number:131-0 Name. Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grose Amount Federal FICA State SDI Vac! Health Pension Not Date Earned Tax Tax Holiday fr. Waif. RAMIRFZ MARCELINO 4 Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 12/27 12128 12/29 12130 12/31 01101 01/02 Hours Pay Rate Thin All 5.97 49.50 0.00 7 12 0.00 0 00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE S 0.00 4.00 0.00 0.00 0.00 0.00 0.00 4.00 26.57 106.28 666.28 Training Fund Admin Duos S Subs uhs Savings Other Total 577.84 12356 (LABORER). 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 GROUNDSPERS 0.00 0 00 0.00 0 00 0.00 25.85 88.44 ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE. 5.31 DENTAL INSURANCE & 6.66 401K Name. Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac! Health Pension Net Date Earned Tax Tax Holiday 8 Wolf. RODRIGUEZ-PINEDA, ALEJANDRO 0 total Hourly Wage Check 69 BONAZA RD Work 12/27 12/28 12/29 12/30 12/31 01101 01102 Hours Pay Rate This Al' 0 Si) 48 96 1.60 7.04 4.00 0.00 0.00 Pald For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE $ 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 16.00 256.09 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 582.20 SEE NOTES LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 RIVERSIDE D.OD 11.00 0.00 0.00 9.00 0.00 57.80 111111.11111111 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: PAYCHECK NUMBERS: 12330; 6675 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well. SARABIA, DOSE A 0 Total Hourly Wage Check 2950 N INDIAN CANYON DR Work 12/27 12/28 12/29 12/30 12131 01/01 01/02 Hours Pay Rate This All 0 00 39,16 6.72 5.53 lI Dr, 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.011 8.00 0.00 0.00 0.00 32.00 16,00 512.00 512.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 455.37 12353 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 - 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.12 56.53 D . 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.12 401K Name, Address Number of Day Deductions, Contributions, and Payments and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Net Date Earned Tax Tax Holiday & MIL VALDEZ. HUMBERTO S 0 Total Hourly Wage Check 12956 CACTUS DR #A Work 12/27 12/28 12129 12/30 12/31 01/01 01/02 Hours Pay Rate This All 58.51 46.69 8.46 6.71 0.00 0.00 0.00 Pald For Week Number Classificationact Hours Worked Each Day Pre J Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S 0.00 4.00 0.00 0.00 0.00 0.00 0.00 4.00 26.57 106.28 610.28 TrainingFund Admin Dues Tray/ Subsubs Savings Other Total 361.33 12357 (LABORER). 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 128.58 248.95 NNW ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 122.48 GARNISHMENT & 6.10 401K Public works Certified Payroll Reporting Form 01/28/2022 - Page 4 Public Works Certifi( ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 01/02/2022 Payroll Number:131-0 Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Not Date Earned Tax Tax Holiday 8 Welt. Wage VAZOl1E2 CQRA00, JOSE A 0 Total Hourly Check 69 BONAZA RD Work 12127 t2126 12129 12J30 t2131 01101 Oil02 Hours Pa Rala Y This All 0.00 48.83 0.00 7.02 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE S 0.00 4.00 0.00 0.00 0.00 0.00 0.00 4.00 26.57 106.28 638.28 Training Fund Admin Dues Tray! Subs Savings Other Total 582.43 12358 (LABORER). a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 55.85 IMMO ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 01/28/2022 - Page 5